Jennifer Crystal Biesiadecki, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02006838A Issued in IN

Practice address

540 Hospital Dr
Winamac, IN 46996-1173

Phone

(574) 946-2194

NPI assigned

Mar 21, 2019

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Marian University College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulaski Memorial HospitalGroup PAC ID 3173515509, shared by 32 NPIs, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Home Care Services Inc Home health agency, Knox, IN, CCN 157078
• Pulaski Memorial Hospital Hospital, Winamac, IN, CCN 151305
• Northwest Health - Starke Hospital, Knox, IN, CCN 150102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Rural Health Clinic/Center
  • Winamac, IN
  • NPI 1740403419
  Medicare reassignment NPD
• Pulaski Memorial Hospital

  dba Healthwin Health & Rehabilitation

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1093750119
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Home Care Services Inc

  • Home Health Agency
  • Knox, IN
  • NPI 1447890918
  Care Compare affiliation
• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319
  Care Compare affiliation
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1902366412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 DES PLAINES AVE APT 507",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302152",
            "telephone_number": "815-508-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HOSPITAL DR",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961173",
            "telephone_number": "574-946-2194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 E Douglas Rd Ste 407",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451468",
            "country_code": "US",
            "telephone_number": "574-335-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIESIADECKI",
        "first_name": "JENNIFER",
        "middle_name": "CRYSTAL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006838A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Anderson, FNP
• Arlina Hernandez Anog-Noble
• Daniel Charles Baxter, D.O.
• Curtis Mitchell Bejes, M.D.
• Kaylee Bennett-Kester
• Katherine Blystone
• Kristopher Douglas Bosi, MD
• Brian a Johnson MD PC
• Brian a Johnson MD PC (Brian a Johnson MD)
• Julie Chapman, RPH

• Family Medicine Physician in Winamac, IN
• Providers in Winamac, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.